Legal Service Plan Application Form

(If you need to use the plan immediately, call Member Benefits to enroll by phone, weekdays from 9 a.m. to 5 p.m. at 800-626-8101.)
All fields except "Middle Name" required.
Select Legal Plan Option
Payment Information
By submitting this enrollment form, I waive my attorney/client privilege only with respect to the processing of record-keeping information relating to the Plan, and not with respect to the substantive content of any legal matters covered by the Plan. Due to batch processing, your credit card may or may not be charged on the same day you submit your online enrollment form. Once you submit your application online, your NYSUT membership is verified, the application is processed and your credit card is then charged. Your fulfillment package will be generated and sent within 14 - 21 business days from the online submission date. If you have questions about enrollment, please call NYSUT Member Benefits toll-free, 800-626-8101, weekdays from 9 a.m. to 5 p.m. Eastern Time. The Legal Service Plan provided through Feldman, Kramer & Monaco, P.C. is a NYSUT Member Benefits Trust (Member Benefits)-endorsed program. Member Benefits has an endorsement arrangement of 27.5% of annual participation fees received for this program. All such payments to Member Benefits are used solely to defray the costs of administering its various programs and, where appropriate, to enhance them. Member Benefits acts as your advocate; please contact Member Benefits at 800-626-8101 if you experience a problem with any endorsed program.